CARE HOMES FOR OLDER PEOPLE
Stallingborough Lodge Station Road Stallingborough Grimsby DN37 8AJ Lead Inspector
Theresa Bryson Unannounced 12 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Stallingborough Lodge Address Station Road, Stallingborough, Grimsby, DN37 8AJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01472 280210 01472 280210 Shire Care (Nursing and Residential Homes) Ltd Tracy Tindall CRH 44 Category(ies) of OP 44, PD 20, PD(E) 20 registration, with number of places Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 10/02/05 Brief Description of the Service: Stallingborough Lodge Care Home is a purpose built establishment that is registered for 44 service users with problems of old age, physical disability over 65 years of age and under and also has a nursing registration for service users. The accomodation is set on the outskirts of a small village, near the larger town of Grismby. It has some local amenities for service users to visit and the home is near a regular bus route into the town. The home is set in enclosed gardens, which are all accessible to wheelchair users. The home is part of a small group of homes, Shire Care Ltd, and is supported by a head officie team and a visiting Director of Operations. It has the benefit of also having service users visiting from other other local homes. The home has several groups of staff employed inclduing;- professionally trained nurses, care assistants, domestic and laundry staff, kitchen staff, administrator, handyman and activities organiser. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over several days of the months of September and October, and was prompted by concerns raised about the care in the home and level of knowledge of the people who work in the home. To find out how the home was run and if people who lived in the home were being looked after the inspector spoke to the manager, 7 trained nursing staff, a director of the company and several groups of people who assist the home in the care given to the people who live there. Paperwork kept in the home was also seen to make sure that the checks to make sure staff are safe to work in the home had been done. And that they had been trained to do their job safely. Paperwork was also looked at to make sure the home and the things in it were safe and checked often. The manager Mrs.Tindall accompanied the inspector on all her visits. The inspector also spoke to the Director of Operations. What the service does well: What has improved since the last inspection? Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 6 The paperwork for employing foreign nationals had improved since the last inspection and each person had a file with the right information contained from the Home Office, which means they are legally working in this Country. The standard of cleanliness and the way rooms were kept tidy had improved, making a more relaxed place to live in. All permanent residents who live in the home have been included on the local electoral role, ensuring they can vote and exercise their legal and civic rights. The guidance for the care of the dying person had improved and covered all local guidelines; ensuring staff have all the information to hand in the event of a death. What they could do better:
The paperwork kept regarding the care delivered to the people who live in the home was not up to date and the records kept of other health care people assisting the staff in the home, was not always recorded. This could mean that not all the problems identified for people living in the home are carried out and new problems may be missed, causing them to be at risk. The paperwork kept for giving of drugs to people who live in the home was not always clearly written and there was no evidence to show that they had received up to date training. This could put the people at risk from being given the wrong drugs as part of their care. The records sent to the Commission when a person had died were not always completed correctly and the staff working in the home need to be reminded that accurate records need to be kept so ensure that all areas have been covered in the care of each person. The manager of the home must ensure that all concerns and complaints are passed on to her so she can make a proper-recorded investigation and ensure all parties involved are satisfied with the outcome. The staffing levels in the home must be enough to ensure that he needs of all the people who live in the home can be met at all times. The manager was asked to look at every person’s needs and reassess the staffing rotas. The manager must ensure that all the paperwork kept on all staff who work in
Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 7 the home is up to date, to ensure they are safe to work with the people who live in the home. Also that they have been fully trained to do their jobs and this training is recorded. The supervision of all staff in the home must be recorded and show that they are capable and safe to work with the people who live there. The company must ensure that its quality assurance programme shows how the home is auditing all services provided by the home to the people living there and they produce an annual development plan to show the home is safe to live in. This must also include a review of the policies and procedures. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 and 6. Service users are provided with comprehensive documentation before entering the home, to enable them to make informed choice. EVIDENCE: The home provides a document to cover the service users guide and the statement of purpose. Each document consisted of all items listed under Schedule 1 of the Regulations. They were produced in an easy to read format and on display in the main reception area. The service users guide is given to each prospective service user and sent on request to other interested parties. The Director of Operations informed the inspector that the Local Authority finance department is often very behind in their accounting and letters have had to be sent by the company to chase payments. This has been taken up at a high level within the Council. At the time of the visits the home had privately funded service users, those
Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 10 funded by the local authority, the local NHS and some GP funded beds. The home does not provide intermediate care and therefore Standard 6 was not applicable. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 11. The company provides comprehensive care documentation to enable all service users needs to be monitored and assist the staff to deliver the appropriate care to each person and administer all medication correctly. This documentation had not been correctly completed. Failure to complete records fully and accurately compromises the safety of care given to service users. EVIDENCE: The documentation provided by the company for completion of care plans and monitoring by the manager was comprehensive and would allow staff to follow through on a daily basis the actual delivery of care to each person. Not all of the 12 care plans seen had this documentation completed. In some cases evaluations on a monthly basis had not been evidenced. Sections of the initial assessments were incomplete. Documentation available, such as waterlow risk assessments and nutritional assessments, were not consistently completed. This had led, in some cases to problems and needs of service users not being addressed effectively.
Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 12 Staff were able to give good verbal accounts of each service user’s care, but the evidence seen in the care plans was often incomplete and not up to date. Two staff members admitted not putting all evidence on problems in written format, and these were identified to the manager at the time of each visit. The manager was reminded that accurate records need to be keep on each person in the home to ensure the right level of care is being delivered at all times. Some of the evidence of the visits of other health care professionals and such as the ambulance service were not recorded and the information sheets supplied by the company not consistently written. The manager and staff interviewed were reminded that accurate records must be in place and accurate recording of the outcomes of all visits to each service user. This would enable the home to follow through issues, if necessary, in a prompt manner. The company drugs policy had been updated since the last visit. The transcriptions, which were hand written on some drug administration sheets was poor and not legible. This could result in mistakes occurring and incorrect dosages being given. The ordering and giving of medication for one service user was very muddled and one staff member identified to the manager as needing investigating over issues raised. Each staff member administrating medication needed reminding that accurate records must be kept at all times and relevant guidelines followed. They should also be clear in the instructions given by other health professionals and GPs’ before administrating medication. The home had obtained new guidelines from the Nursing and Midwifery Council and other reference books to assist staff in their role. Only one staff member could produce evidence of up date training in one aspect of administration of medication. Training needs were identified to the manager as she is required to ensure all staff have up to date knowledge on drugs being administered to ensure a safe system is in place. A policy is now in place to address the needs of service users at the end of their lives and the palliative care list of staff, as community contacts was up to date. The Regulation 37 notices sent to the CSCI local office had improved, but errors were found on some. One nurses was asked about one recent death, where she had been the nurse in charge and the verbal detail given did not correspond with the Regulation 37 notice or the daily report recording. This was identified to the manager. The home also has several foreign nationals working at the home and the manager was advised that some awareness training needs to be put in place to ensure all staff can address cultural and religious needs of all nationalities. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14. Service users were able to exercise choice and independence in their daily lives, depending on their assessed needs. EVIDENCE: On touring a selection of rooms there was evidence that service users were able to personalize their own rooms and also had choice in the redecoration of rooms. Evidence in the care plans tracked showed where each person was able to exercise their own independence, such as with leisure activities, use of adapted wheelchairs and visits by family and friends both in and outside the home. The company also has a policy to survey service users on a variety of topics, though out the year and these were offered to the inspector to see. The home tries to give as much choice and independence to service users as possible, depending on their needs, making this their home, to suit their needs. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. A comprehensive complaints policy was in place for service users and other parties entering the home to see. Service users and their relatives were aware of how to make a complaint and believed their concerns would be listened to and acted upon by the manager. Staff did not always pass on concerns raised. There was a policy in place to ensure the service users were protected from abuse, but staff had not received update training to ensure this was implemented correctly. EVIDENCE: The complaints policy remained unchanged from the last inspection and was on display in several areas of the home. The detail was up to date and staff stated they were aware of the policy. Events had arisen immediately before the inspection and on interviewing staff and the manager it was evident that some concerns had not been passed on to the manager to deal with through the proper policy. The manager was reminded that she should have a system in place to ensure that all concerns and complaints are passed on to her by staff and there is evidence to support that an investigation has taken place to hear all sides. This will ensure a level playing field is exercised for all events. The policy for the protection of vulnerable adults was in place and also a copy of the Local Authority guidelines. On interviewing all trained nurses and checking their training records there was insufficient evidence to support that staff had received up date training, but the manager had completed this last year. This could result in service users being at risk from abuse.
Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 15 Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 16 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24. The rooms of the service users were clean and tidy furnished and equipped to assure privacy and dignity, and meet their assessed needs. EVIDENCE: A selection of service users rooms were seen on a brief tour of the building. Each room had been decorated to the choice of each individual and showed that assessments had taken place for each person as specialist equipment such as special beds and bed-rails were present in some rooms. Each care plan also has a document stating the furniture present and justifies when items have been removed or added. Specialist equipment is also listed by the home and if for example this is on loan from the Primary Care Trust. The home manager also completes an environmental audit and evidence was seen that these had been completed. This ensures to the manager the
Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 17 environment is safe for each service user and the rooms are comfortable as living spaces and meets their individual needs. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 18 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30. The home has a system in place for the recruitment of staff, which was not completed for all staff. Without this service users could be put at risk from inadequately recruited staff. Training records did not show that all staff have the skills to care for individual needs of service users, putting them at risk from ill equipped staff. EVIDENCE: The staffing levels seen in the home were questioned during the course of the visits. Most trained staff spoken to did not think the staffing levels were sufficient to meet service users needs. An immediate requirement notice was issued to re-evaluate the dependency levels of all service users and adapt the care staff rota if necessary. This will ensure that quality time can be given to service users at all times. Rotas for all other departments in the home appeared adequate to meet the workload presented to them on a daily basis. Some staff files were tracked as part of the inspection process. The manager was very honest in her stated responses to questions concerning checks made on staff who are employed as bank staff and independent practioners. There was insufficient evidence to show that all checks had been made, including one person’s indemnity insurance, as an independent practioner and records of
Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 19 bank staff. Correct procedures to follow were in the policy manual, but these had not been adhered to on this occasion, which could put service users at risk from inadequately recruited staff. The training records of all qualified nurses were seen. These varied in the in the evidence seen and most did not appear to have updated evidence in mandatory training and service specific training. A variety of documentation was in use, which made it difficult for the inspector to track the information required. Staff interviewed could not remember what courses they had attended in any one-year. Staff need an adequate knowledge base to ensure they are equipped with all the necessary knowledge and skills for them to deliver care to service users. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 20 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,36 and 37. The home does not have a robust system in place to ensure that supervised staff with a sound knowledge base provide the quality of care delivered to service users. EVIDENCE: Some audits that the company ask the manager to complete have been done by the current manager. A full quality assurance is yet to be fully implemented and an annual development plan submitted to the inspector. Failure to have a system in place could result in the quality of care not being delivered to meet service users’ needs. The supervision records of all trained nursing staff were seen. These were spasmodically written and did not show that the required number of sessions had taken place in the last year. There was little indication that outcomes from sessions were discussed. Bank staff had not been supervised at all. The
Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 21 manager was informed that she must have a suitable system in place to enable the staff to have a firm knowledge base and are supervised to ensure they are delivering the correct care to service users. AS previous stated in the report certain policies need to be reviewed to ensure that they reflect current legislation and local guidelines. This will enable staff to deliver care correctly to service users. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 x 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x
COMPLAINTS AND PROTECTION x x x x x 3 x x STAFFING Standard No Score 27 1 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 x x 2 x x 1 2 x Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15.1 and 2.a,b,c,d. 13.1.b. Requirement Timescale for action 30/12/05 2. 8 3. 9 13.2. 4. 9 13.2. The registered person must ensure that all service users care plans are up to date and hold current information. The registered person must 30/12/05 ensure that all records are accurate regarding the involvment of other health care professionals. The registered person must 09/12/05 ensure that all staff administrating medication are aware of current service users needs. (Previous timescale of 12/08/04 not met). The registered person must 30/01/06 ensure that all staff adminstering medication have up dated training. The registered person must 30/01/06 ensure that all staff have training in how to care for the dying person and how to maintain accurate records. The registered person must 30/12/05 ensure that all staff are aware of the reporting procedures for complaints and these are passed on to the appropraite person.
Version 1.40 5. 11 18.1.c.i. 6. 16 22.3. Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Page 24 7. 18 13.6. 8. 27 18.1.a. 9. 29 18.1.a,b. 10. 30 18.1c.i. 11. 33 24.1.a,b. 12. 37 17.1.a,b and 2 and 3.a,b. 13. 33 24.1.a,b. The registered person must ensure that all staff have up date training in the protection of vulnerable adults. The registered person must ensure that current staffing levels are such to meet the dependency needs of current service users. (Previous time scale of 30/05/05 not met). The registered person must ensure that staff personal files contain all information as detailed in Schedule 2 of the Care Home Regulations. (Previous time scale of 16/03/04 not met). The registered person must ensure that all staff have mandatory training and service specific training and this is open for inpsection on the records kept. The registered person must ensure that policies and procedures for quality assurance monitoring relate to the home and an annual development plan produced. (Previous time scale of 16/03/04 not met). The registered person must ensure that all documentation within the home meets current legislation and up to date practise. (Previous timescale of 30/07/05 not met). The registered person must ensure that the action plan for this report is received promtply at the local CSCI office and specific in its content to enable the inpsector to judge whether the plan is feasable. 30/12/06 30/11/05 30/11/05 30/01/06 30/01/06 30/01/06 21/11/05 Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stallingborough Lodge J54 2804 Stallingborough Lodge V247553 12 August 2005 Stage 4.doc Version 1.40 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
